DR. KYLE GREEN PHARM.D. NPI 1639771413

NPI Information

  • NPI: 1639771413
  • Provider Name: DR. KYLE GREEN, PHARM.D.
  • Classification: Pharmacist - 1835P0018X
  • Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Entity Type: Individual
  • Address: 906 SW REGIONAL AIRPORT BLVD
    BENTONVILLE, AR
    ZIP 72713
  • Phone: (479) 268-7678

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NPI Details

DR. Kyle Green, PHARM.D. is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Bentonville, AR. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Kyle Green, PHARM.D. NPI is 1639771413. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

906 SW REGIONAL AIRPORT BLVD
BENTONVILLE, AR
ZIP 72713-364
Phone: (479) 268-7678

The enumeration date for this NPI number is 11/16/2020 and was last updated on 11/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPD12141ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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